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Updated: Jan 20, 2026

Mixed Reality Technology and Three-Dimensional Printing in Teaching: Heart Anatomy as an Example
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Implementing eScreening technology in four VA clinics: a mixed-method study.

James O E Pittman1,2, Niloofar Afari3,4, Elizabeth Floto5

  • 1VA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr., San Diego, CA, 92161, USA. james.pittman@va.gov.

BMC Health Services Research
|August 30, 2019
PubMed
Summary
This summary is machine-generated.

Technology-based self-assessment (TB-SA) like VA eScreening shows promise for health information collection. Implementation varied across clinics, with training and support being key facilitators, though workload and leadership support were barriers.

Keywords:
Health information technologyImplementationMixed methodsTechnologyVeteranseScreening

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Area of Science:

  • Health Informatics
  • Digital Health
  • Healthcare Technology

Background:

  • Technology-based self-assessment (TB-SA) offers benefits like efficiency and cost savings.
  • The VA eScreening program is a TB-SA tool for collecting patient health information.
  • Understanding implementation factors is crucial for broader adoption of eScreening.

Purpose of the Study:

  • To assess technology-related, individual, and system-level factors influencing eScreening implementation.
  • To identify facilitators and barriers to adopting eScreening in diverse VA clinics.

Main Methods:

  • A mixed-method, pre-post, quasi-experimental study.
  • Data collection included interviews, focus groups, usage data, and surveys.
  • Evaluated usability, knowledge, acceptability, facilitators, and barriers.

Main Results:

  • Staff generally had positive feedback, but fit varied for emergent cases and older adults.
  • Barriers included lack of personnel and perceived leadership support; facilitators were training and technical assistance.
  • eScreening was fully implemented in one clinic, partially in two, and not at all in one.

Conclusions:

  • eScreening was partially implemented in most clinics despite workload and support challenges.
  • The technology itself was not a barrier to implementation.
  • Future implementation requires strategies addressing workload and accountability.